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8701. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60007/psn-pdf
      March 04, 2020 - ISMP Guidelines for Optimizing Safe Implementation and Use of Smart Infusion Pumps. March 4, 2020 Horsham, PA: Institute for Safe Medication Practices; 2020. https://psnet.ahrq.gov/issue/ismp-guidelines-optimizing-safe-implementation-and-use-smart-infusion- pumps Smart pumps are widely available as a medicat…

8702. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43024/psn-pdf
      March 05, 2014 - Speaking up for patient safety by hospital-based health care professionals: a literature review. March 5, 2014 Okuyama A, Wagner C, Bijnen B. Speaking up for patient safety by hospital-based health care professionals: a literature review. BMC Health Serv Res. 2014;14:61. doi:10.1186/1472-6963-14-61. https://psnet.…

8703. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47956/psn-pdf
      June 26, 2019 - Family involvement in managing medications of older patients across transitions of care: a systematic review. June 26, 2019 Manias E, Bucknall T, Hughes C, et al. Family involvement in managing medications of older patients across transitions of care: a systematic review. BMC Geriatr. 2019;19(1):95. doi:10.1186/s12…

8704. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43058/psn-pdf
      March 26, 2014 - A strategic approach to quality improvement and patient safety education and resident integration in a general surgery residency. March 26, 2014 O'Heron CT, Jarman BT. A strategic approach to quality improvement and patient safety education and resident integration in a general surgery residency. J Surg Educ. 2014…

8705. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72606/psn-pdf
      December 23, 2020 - Best Practices in Developing Proprietary Names for Human Prescription Drug Products Guidance for Industry. December 23, 2020 Rockville, MD: US Department of Health and Human Services, Food and Drug Administration, Center for Drug Evaluation and Research; December 2020. https://psnet.ahrq.gov/issue/best-practices-d…

8706. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/841766/psn-pdf
      December 21, 2022 - Accuracy in patient understanding of common medical phrases. December 21, 2022 Gotlieb R, Praska C, Hendrickson MA, et al. Accuracy in patient understanding of common medical phrases. JAMA Netw Open. 2022;5(11):e2242972. doi:10.1001/jamanetworkopen.2022.42972. https://psnet.ahrq.gov/issue/accuracy-patient-understa…

8707. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45001/psn-pdf
      June 01, 2016 - Relationship between job burnout, psychosocial factors and health care–associated infections in critical care units. June 1, 2016 Galletta M, Portoghese I, D'Aloja E, et al. Relationship between job burnout, psychosocial factors and health care-associated infections in critical care units. Intensive Crit Care Nurs…

8708. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46324/psn-pdf
      August 09, 2017 - IHI Framework for Improving Joy in Work. August 9, 2017 Perlo J, Balik B, Swensen S, et al. Cambridge, MA: Institute for Healthcare Improvement; 2017. https://psnet.ahrq.gov/issue/ihi-framework-improving-joy-work Leadership has a responsibility to establish a culture that fosters staff and clinician well-being as a…

8709. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/854254/psn-pdf
      October 04, 2023 - Implementing patient safety and quality improvement in dermatology. October 4, 2023 Marsch A, Khodosh R, Porter M, et al. J Am Acad Dermatol. 2023;89(4):641-54; 57-67. https://psnet.ahrq.gov/issue/implementing-patient-safety-and-quality-improvement-dermatology Patient safety in dermatology has received increasing …

8710. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60915/psn-pdf
      September 16, 2020 - Deprescribing for community-dwelling older adults: a systematic review and meta-analysis. September 16, 2020 Bloomfield HE, Greer N, Linsky AM, et al. Deprescribing for community-dwelling older adults: a systematic review and meta-analysis. J Gen Intern Med. 2020;35(11):3323-3332. doi:10.1007/s11606-020-06089-2. h…

8711. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/48022/psn-pdf
      May 29, 2019 - Inappropriate opioid prescription after surgery. May 29, 2019 Neuman MD, Bateman BT, Wunsch H. Inappropriate opioid prescription after surgery. Lancet. 2019;393(10180):1547-1557. doi:10.1016/S0140-6736(19)30428-3. https://psnet.ahrq.gov/issue/inappropriate-opioid-prescription-after-surgery The overprescribing of o…

8712. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39309/psn-pdf
      December 09, 2014 - Patient Safety in Emergency Medicine. December 9, 2014 Croskerry P, Cosby KS, Schenkel SM, Wears RL, eds. Philadelphia, PA: Lippincott Williams & Wilkins; 2009. ISBN: 9780781777278. https://psnet.ahrq.gov/issue/patient-safety-emergency-medicine The pace, diversity, and scope of an emergency department (ED) cre…

8713. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43873/psn-pdf
      February 04, 2015 - AHRQ Safety Program for End-Stage Renal Disease Facilities—Toolkit. February 4, 2015 Rockville, MD: Agency for Healthcare Research and Quality; January 2015. https://psnet.ahrq.gov/issue/ahrq-safety-program-end-stage-renal-disease-facilities-toolkit Health care–associated infections are a known contributor to adve…

8714. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41678/psn-pdf
      June 03, 2013 - Improving resident engagement in quality improvement and patient safety initiatives at the bedside: the Advocate for Clinical Education (ACE). June 3, 2013 Schleyer AM, Best JA, McIntyre LK, et al. Improving resident engagement in quality improvement and patient safety initiatives at the bedside: the Advocate for …

8715. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73703/psn-pdf
      September 15, 2021 - To expand the evidence base about harms from tests and treatments. September 15, 2021 Korenstein D, Harris RP, Elshaug AG, et al. To expand the evidence base about harms from tests and treatments. J Gen Intern Med. 2021;36(7):2105-2110. doi:10.1007/s11606-021-06597-9. https://psnet.ahrq.gov/issue/expand-evidence-b…

8716. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44231/psn-pdf
      January 22, 2016 - Just-in-time training for high-risk low-volume therapies: an approach to ensure patient safety. January 22, 2016 Helman S, Lisanti AJ, Adams A, et al. Just-in-Time Training for High-Risk Low-Volume Therapies: An Approach to Ensure Patient Safety. J Nurs Care Qual. 2016;31(1):33-9. doi:10.1097/NCQ.0000000000000131.…

8717. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60664/psn-pdf
      July 08, 2020 - Applying the Medications at Transitions and Clinical Handoffs Toolkit in a rural primary care clinic: implications for nursing, patients, and caregivers. July 8, 2020 Jarrett T, Cochran J, Baus A. Applying the Medications at Transitions and Clinical Handoffs Toolkit in a rural primary care clinic: implications for…

8718. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/861278/psn-pdf
      January 24, 2024 - Interprofessional learning in multidisciplinary healthcare teams is associated with reduced patient mortality: a quantitative systematic review and meta-analysis. January 24, 2024 Webster CS, Coomber T, Liu S, et al. Interprofessional learning in multidisciplinary healthcare teams is associated with reduced patien…

8719. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74830/psn-pdf
      June 01, 2022 - The Michigan Hospital Medicine Safety Consortium (HMS) Finds Infectious Diseases (ID) Physician Approval for Placement of Peripherally Inserted Central Catheters (PICCs) Prevents Unnecessary PICC Use and Reduces Complications February 23, 2022 https://psnet.ahrq.gov/innovation/michigan-hospital-medicine-safety-co…

8720. A Stroke of Error | PSNet
      psnet.ahrq.gov/web-mm/stroke-error
      February 01, 2016 - SPOTLIGHT CASE A Stroke of Error Citation Text: Barrett KM. A Stroke of Error. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML End…